Practical and Helpful Tips: Health

What is Medical Coding? Medical coding simply refers to the transformation of the healthcare diagnoses, procedures, medical services and equipment into universal medical alphanumeric codes. To obtain the accurate diagnoses and procedures, there is a need to refer to the medical record documentation which includes the physicians’ notes, laboratory and radiologic results. Medical documents are […]

What is Medical Coding? Medical coding simply refers to the transformation of the healthcare diagnoses, procedures, medical services and equipment into universal medical alphanumeric codes. To obtain the accurate diagnoses and procedures, there is a need to refer to the medical record documentation which includes the physicians’ notes, laboratory and radiologic results. Medical documents are the main source of diagnoses and procedures used for medical coding purposes. The main role of the medical coder is to ensure that the codes are used in the right way. On the other hand, medical billing includes abstraction of the information from documents, assigning the correct codes and making of claims to be deposited with the health insurance companies. The role of the medical coder includes reviewing clinical statements and assigning codes. The medical biller role is to process and follow up with the claims sent to the health insurance provider. A medical biller could act as a medical coder. To avoid denial of payment by the insurance company both the medical coder and the medical biller work together to ensure that everything is in order.
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To avoid the refusal of insurance companies to pay both the medical coder and the medical biller checks the patients’ medical records to confirm or proof the work that was done. The medical coder is also expected to give a full account of the patients’ encounter with the doctors or physicians.
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Training is needed for one to become a fully fledged medical coder. Understanding of the anatomy and medical terminologies is very basic for every medical coder. To become a medical coder one is required to learn the basics which include the grasping the anatomy and the medical terminologies. If the claims are denied the medical coders could re-file appeals. The healthcare providers require being educated on the right coding system, and the medical coders will be happy to do it. Another role of the medical coders is speaking on behalf of the health providers and patients on coverage and medical necessity issues. Getting a bachelor’s degree or a master’s degree would do a one good since they would have a firm grounding in coding. It is, however, important to know that the papers do not mean that a person is proficient. a skilled medical coder has a strong grounding in anatomy, physiology, and medical terminologies. If you want to be taken seriously as a coder you need to complete a medical coding course of study and pass the exams. You would increase your chances of being employed if you have a certificate that shows you have completed a course in medical coding. You could be employed as a certified ambulance medical coder.